Afton Oaks Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 7514 Kingsley St, Houston, TX 77087
- CCN
- 455682
- Ownership type
- For-profit, corporation
- Certified beds
- 169
- Residents per day
- 77
- CMS flags
- Special Focus Facility candidate
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Afton Oaks Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 9 Apr 2025. The latest survey cycle has 20 health citations. The median for nursing homes in Texas is 8. CMS lists 4 fines with a total of $90,872 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Harris County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 97 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 9 Apr 2025 | 20 | 8 |
| Cycle 2 | 7 Feb 2024 | 9 | 8 |
| Cycle 3 | No date | 8 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 21 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Nov 2025 |
| 27 Oct 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | K | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | K | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 28 Oct 2025 |
| 27 Oct 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 28 Oct 2025 |
| 9 Apr 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 9 May 2025 |
| 9 Apr 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 9 May 2025 |
| 9 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 May 2025 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 1 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Apr 2025 |
| 1 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 7 Apr 2025 |
| 1 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Apr 2025 |
| 13 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Apr 2025 |
| 13 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 7 Apr 2025 |
| 27 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 6 Dec 2024 |
| 27 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Dec 2024 |
| 14 Nov 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 4 Dec 2024 |
Survey cycle 3: 8 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 5 Oct 2023 |
| 13 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 5 Oct 2023 |
| 13 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 5 Oct 2023 |
| 13 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint investigation | 5 Oct 2023 |
| 13 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Oct 2023 |
| 13 Sep 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint investigation | 5 Oct 2023 |
| 10 Nov 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 9 Dec 2022 |
| 10 Nov 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 9 Dec 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Jan 2026 | Fine | $14,722 | |
| 27 Oct 2025 | Fine | $45,760 | |
| 11 Jul 2025 | Fine | $10,529 | |
| 13 Sep 2023 | Fine | $19,861 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.59 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.57 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.84 | 0.95 | |
| Nurse aides | 2.18 | 2.00 | |
| All nurse staff, weekends | 3.29 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.5% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Winnie-Stowell Hospital District
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Diversicare Afton Oaks, LLC | Operational/managerial control | 1 Sep 2024 | |
| Journey Medical PLLC | Operational/managerial control | 20 Jan 2025 | |
| Winnie-Stowell Hospital District | Operational/managerial control | 1 Sep 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Harris County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Courtyard | Houston | 4 of 5 | 2 | $0 | 11 Sep 2025 | |
| Avir at Golfcrest | Houston | 2 of 5 | 6 | $43,799 | 10 Apr 2025 | |
| Harmony Care at Golfcrest | Houston | 1 of 5 | 13 | $49,565 | 27 Jul 2025 | |
| Paradigm at Faith Memorial | Pasadena | 3 of 5 | 10 | $19,481 | 23 Apr 2026 | |
| St Dominic Village Rehabilitation and Nursing Cent | Houston | 1 of 5 | 7 | $42,031 | 25 Jun 2026 | |
| Garden Terrace Healthcare Center of Houston | Houston | 2 of 5 | 9 | $138,543 | 19 Jun 2025 | |
| Richard A. Anderson (State of Texas Veterans Land | Houston | 5 of 5 | 2 | $14,730 | 11 Sep 2025 | |
| Jacinto Nursing and Rehabilitation Center | Houston | 1 of 5 | 12 | $59,867 | 19 Feb 2026 | |
| Holly Hall | Houston | 3 of 5 | 13 | $0 | 7 Oct 2025 | |
| The Methodist Hospital SNF | Houston | 5 of 5 | 0 | $0 | 29 Aug 2025 | |
| Pasadena Post Acute | Pasadena | 3 of 5 | 4 | $27,254 | 15 May 2026 | |
| Focused Care at Pasadena | Pasadena | 1 of 5 | 7 | $131,012 | 13 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Afton Oaks Nursing and Rehabilitation Center (CCN 455682). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/afton-oaks-nursing-and-rehabilitation-center-houston-tx-455682/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Afton Oaks Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 14 Jan 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 7 Feb 2024.
- Who operates Afton Oaks Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Afton Oaks Nursing and Rehabilitation Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.